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South Dakota rates for HCPCS V2303

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere .12-2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $69.26 / $80.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $96.00 / $120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.65 / $82.59 / $136.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $38.45 / $463.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $85.00 / $150.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $70.40 / $76.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $82.59 / $103.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.11 / $38.45 / $90.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37